Key result
Slow stroke back massage linked to improved sleep quality and lower blood pressure in elderly hypertension.
Why the study?
Hypertension in the elderly is often associated with poor sleep quality, and interventions to improve sleep in this population are needed.
Does Slow Stroke Back Massage combined with family nursing care improve sleep quality in elderly hypertensive patients?
Case Report (n=2)
No
Does Slow Stroke Back Massage combined with family nursing care improve sleep quality in elderly hypertensive patients?
Slow Stroke Back Massage applied by family caregivers may serve as a non-pharmacological adjunct to improve sleep quality, reduce pain, and support blood pressure control in elderly patients with hypertension, though generalizability requires larger studies.
May support adjunctive nursing care for sleep in elderly hypertension; hypothesis-generating and requires randomized confirmation.
Introduction: Hypertension is a prevalent condition among the elderly, often leading to poor sleep quality. Objective: This case study aimed to describe the effect of Slow Stroke Back Massage (SSBM) combined with family nursing care in improving sleep quality among elderly hypertensive patients. Method: This descriptive case study involved two elderly hypertensive patients receiving family nursing care at Puskesmas Tambak Wedi, Surabaya. The intervention consisted of SSBM performed for 30 minutes every two days for a week. Data were collected through observation, interviews, and the Pittsburgh Sleep Quality Index (PSQI). Results: Both patients showed improved sleep quality, as indicated by decreased PSQI scores (from 14 to 5 and from 16 to 6) and better blood pressure control. These findings describe individual improvements observed in two cases. Recommendation: Slow Stroke Back Massage can be considered a supportive nursing intervention within family care. However, as this study involved only two participants, the findings are not generalizable and should be interpreted as case-based observations
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Arista et al. (2026) conducted a case report in Hypertension and sleep disturbances (n=2). Slow Stroke Back Massage (SSBM) combined with family nursing care was evaluated on Sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI). Slow Stroke Back Massage combined with family nursing care over one week decreased PSQI scores from 14 and 16 down to 5 and 6, and lowered blood pressure in two elderly hypertensive patients.
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